Active NPI
Glendale Medical Group LLC
- General Practice Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GLENDALE MEDICAL GROUP LLC
- Practice address
- 9971 W Camelback Rd Ste 105
Phoenix, AZ 85037-5011 - Phone
- (480) 306-7227
- NPI assigned
- Oct 23, 2018
- Last updated
- Feb 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Cormier, DC
- Title
- Authorized Official
- Phone
- (480) 306-7227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
9971 W Camelback Rd Ste 105
Phoenix, AZ 85037-5011
Mailing address
4432 N Miller Rd Ste 102
Scottsdale, AZ 85251-3697
Phone (480) 306-7227
National Provider Directory
National Provider DirectoryLocations
9971 W Camelback Rd
Ste 105
Phoenix, AZ 85037
Phone (480) 306-7227
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Scottsdale, AZ
- NPI 1851499057
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1720101280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1942776323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4432 N MILLER RD STE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513697",
"telephone_number": "480-306-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9971 W CAMELBACK RD STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375011",
"telephone_number": "480-306-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENDALE MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "CORMIER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-306-7227",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Glenbo, LLC (Right at Home)
- Glendale Chiropractic PLLC
- Glendale Dentistry Group (Arizona Aesthetic Dentistry)
- Glendale Medical Center
- Glendale Medical Center PLLC (Camelback Pain Centers)
- Glendale Medical Partners LLC (Camelback Medical Centers)
- Glendale Pediatrics LLC (Glendale Pediatrics & Family Care)
- Glendale RX Inc
- Glendale Springs Chiropractic and Rehab, LLC (Afc Chiropractic)
- Glenn Silverstein DPM PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.